Neurocritical Care

beats/minute, respiratory rate 18 breaths/minute,

Sao2 99%, and central venous pressure 5 mm Hg.

Her most recent transcranial Doppler velocities are

mean middle cerebral artery 125/135 (right/left),

with a corresponding Lindegaard ratio of 3.5/3.7

(right/left). Her ICP is currently 24 mm Hg. She has

a Licox monitor placed in the hemisphere ipsilateral

to her aneurysm, which currently reveals a partial

pressure of brain tissue oxygen of 14%. She is

intubated and on the ventilator. Her GCS score has

decreased from 10 to 8 during the past hour. Which

treatment would be most appropriate for this patient

in the ICU?

× 1.

Which sedative in an intubated patient is most desir-

able for a patient with a diagnosis of SAH currently

having vasospasm?